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Craniomaxillofacial Trauma & Reconstruction is published by MDPI from Volume 18 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Sage.
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Background:
Case Report

Deformation of a Titanium Calvarial Implant following Trauma: A Case Report

by
Valerie R. De Water
1,*,
Ellianne J. dos Santos Rubio
2,
Joost W. Schouten
2 and
Maarten J. Koudstaal
1
1
Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, 3000 CA Rotterdam, The Netherlands
2
Department of Neurosurgery, Erasmus University Medical Center, Rotterdam, The Netherlands
*
Author to whom correspondence should be addressed.
Craniomaxillofac. Trauma Reconstr. 2016, 9(2), 158-161; https://doi.org/10.1055/s-0035-1567810
Submission received: 28 May 2015 / Revised: 18 July 2015 / Accepted: 18 July 2015 / Published: 5 November 2015

Abstract

Alloplastic material is widely used for the reconstruction of calvarial defects. The objective of this article is to describe the effect of mechanical impact on a titanium calvarial implant and to discuss mechanical properties of alternative implant materials. The patient is a 19-year-old man who was involved in a traffic accident and underwent decompressive craniectomy for an extensive subdural hematoma. Reimplantation of the skull flap was complicated by infection and the flap had to be removed. The remaining cranial defect was closed with a titanium plate. The recovery was without complications. One year later, the patient was hit on the titanium plate, during a soccer match, by the elbow of a fellow player. The implant deflected inward, leaving a visible indentation of the cranial vault. Fortunately, there were no significant neurological symptoms and radiography did not show any signs of damage or pressure on the brain parenchyma. The patient had no aesthetic complaints regarding the shape. Thus, there was no indication to remove the plate. This case illustrates the limits of the protection offered by titanium cranioplasty.
Keywords: cranioplasty; implant failure; alloplastic material; calvarial defect cranioplasty; implant failure; alloplastic material; calvarial defect

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MDPI and ACS Style

De Water, V.R.; dos Santos Rubio, E.J.; Schouten, J.W.; Koudstaal, M.J. Deformation of a Titanium Calvarial Implant following Trauma: A Case Report. Craniomaxillofac. Trauma Reconstr. 2016, 9, 158-161. https://doi.org/10.1055/s-0035-1567810

AMA Style

De Water VR, dos Santos Rubio EJ, Schouten JW, Koudstaal MJ. Deformation of a Titanium Calvarial Implant following Trauma: A Case Report. Craniomaxillofacial Trauma & Reconstruction. 2016; 9(2):158-161. https://doi.org/10.1055/s-0035-1567810

Chicago/Turabian Style

De Water, Valerie R., Ellianne J. dos Santos Rubio, Joost W. Schouten, and Maarten J. Koudstaal. 2016. "Deformation of a Titanium Calvarial Implant following Trauma: A Case Report" Craniomaxillofacial Trauma & Reconstruction 9, no. 2: 158-161. https://doi.org/10.1055/s-0035-1567810

APA Style

De Water, V. R., dos Santos Rubio, E. J., Schouten, J. W., & Koudstaal, M. J. (2016). Deformation of a Titanium Calvarial Implant following Trauma: A Case Report. Craniomaxillofacial Trauma & Reconstruction, 9(2), 158-161. https://doi.org/10.1055/s-0035-1567810

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